Case Studies - Proficient Health

Leading ACO Reduces Out-of-Network Referrals – Increasing Revenue By $100M Annually

Challenge: Out-of-network referrals decreased revenues by an estimated $200 million annually A top-performing physician-led accountable care organization with more than 900 practitioners knew it faced a significant challenge. An analysis showed members were sending 25...

Increasing Efficiency in Labs and Improving Patient Satisfaction

CHALLENGE: Lab orders trapped in paper silos Incompatible systems make it difficult to efficiently share and manage information in multi-location departments throughout a health system. One Proficient Health customer found that their lab department’s methods for...

Breaking Down Barriers to Care for Behavioral Health Patients

CHALLENGE: Information silos cause delays in care during behavioral health crisis Hospital emergency departments are flooded with patients who need immediate care every day. Sometimes the appropriate information to accompany the patient makes it to the hospital but...

Using Electronic Faxing to Streamline Processes and Improve Efficiency

CHALLENGE: Manual and paper processes trap information in silos Hospitals and independent care providers rarely use the same EHR platform, making it difficult to share and manage referrals and other protected health information (PHI). Faxing is frequently the tool of...

Labor & Delivery Department Uses Electronic Faxing to Streamline Processes and Improve Efficiency

CHALLENGE: Manual and paper-based processes trap information in silos The Labor and Delivery department is a place where patient information is crucial to providing the best care to an expectant mother. There are numerous doctors’ offices where a patient can be seen...

WakeMed Improves Patient Throughput With Faster Consults

CHALLENGE: Inefficient processes for sending specialist consults caused delays in patient care and extended average length of stay in hospital It’s very common for patients in the hospital to require a consultation with a specialist – in fact, over 300 inpatient...

Improving Patient Satisfaction with a New Referral Management Process

CHALLENGE: Fragmented communication causes delays in appointments and negatively impacts patient satisfaction Triad HealthCare Network (THN) is a physician-led accountable care organization (ACO) spanning more than 900 practitioners in central North Carolina. Members...

Helping A Leading ACO Keep Referrals In Network

CHALLENGE: Out-of-network referrals that decreased revenues by an estimated $200 million annually Triad HealthCare Network (THN) is a physician-led accountable care organization with more than 900 practitioners in central North Carolina. Though the organization was...

Helping an ACO Move Past Communication Silos to Create Cost Efficiencies and Improve Patient Care

CHALLENGE: Continue to create efficiencies that improve Total Cost of Care With 1,000 physicians and more than 210,000 lives under contract, Wake Key Community Care (WKCC) had made great strides in managing Total Cost of Care, but leaders felt there was still...

Helping an ACO Address Total Cost of Care (TCoC) by Avoiding Unnecessary ED Visits

CHALLENGE: Lack of direct access to specialists was driving up ED evaluations and total cost of care Wake Key Community Care (WKCC) is an ACO/CIN formed by WakeMed and Key IPA in 2013. With more than 1,000 physicians, WKCC currently manages over 210,000 lives under...

Eliminating Delays in Physician-Nursing Communication to Improve Patient Care

CHALLENGE: Delayed communication between floor nurses and providers negatively impacts patient satisfaction and quality of care WakeMed Health and Hospitals, a 919-bed system with nearly 3500 nurses and 1100 physicians, had successfully used PH Connect for...

Improving Emergency Department Experience for Patients and Physicians

CHALLENGE: Lack of direct clinical communication compromises patient experience and can drive up costs For primary care physicians (PCPs), referring patients to the Emergency Department (ED) can be a time-consuming process. Many PCPs leave the communication in the...

Helping WakeMed Regain ACC Heart Failure Accreditation

CHALLENGE: Unable to schedule timely follow-up visits for discharged heart failure patients In 2016, WakeMed was at risk of losing their American College of Cardiology (ACC) Heart Failure Accreditation (after not meeting their goal of having 75% of patients diagnosed...

Streamlined Access to Orthopedic Specialist Drives Referrals from Athletic Trainers and Physical TherapistsStreamlined Access to Orthopedic Specialist Drives Referrals from Athletic Trainers and Physical Therapists

CHALLENGE: Referring Patients is time-consuming and problematic When athletic trainers and physical therapists refer patients to orthopedic specialists, the process can be time consuming and problematic: requiring significant time spent on numerous phone calls,...

New Mental Health Program Relies on Proficient Health to Connect PCPs with Psychiatry Specialist

CHALLENGE: Providing direct and secure access to Psychiatry specialist without disruption Lurie Children’s has a commitment to the overall health and wellbeing of children and families. Essential to the care of the whole child is the early identification and treatment...

Improved Communication and Collaboration for Lurie Children’s Health Partners Clinically Integrated Network

CHALLENGE: Communication challenges between referring physicians and hospital specialist Last year, Ann & Robert H. Lurie Children’s Hospital of Chicago served more than 198,000 children from 50 states and 51 countries. To improve communication between referring...